HomeMy WebLinkAbout94-3879
NO OCCUPANCY BEFORE C.O.
BUilDING PERMplerTrn..t NO. _387- L
CITY OF ZEPHYRHILLS _ ~
(813) 788-6611 Date r-:fl- dl5" - 9~
"1 :;0 ..- (.10
a . ~:;} ,-
PLUMBING MECHANICAL
70' ~'9
ELECTRICAL
rQ
If q /- ~
BUILDING
Water Conn:
Property Owner:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
DATE
Valuation o~ ~ ~.s S"D/' ~
Contract Price .
Permit Fee
Tp. Servo
Rough In
Meter Can ~ -~ 'l-q~ ~
Const. Pole
~POOI
c( ~ ~ 0 ~ c;,lf Pre-Meter to ..). ~ q 4 f>a.l_
Final
~~ ~ J.-. L\";'t~ tJ.r
1i0PLA.-
~b~\I.~ s..;~/64lf tB
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
Ftr. 8-d.\-;;o/~
Pre SL~ -... <
Lintel
City License Registration # -21 q
i~~'
____ I if" t?~tL<'~ 8A./Z {] AA,,~ft7.
ELECTRICAL"-/59' PLUMBIN~5&"
SLB 3- ~c; ~ ~U
Tub Set - 21? . crj k
Water
Sewer S-~Q> ~~
FinalS-dev ___
Signature
Company
Address
Telephone#
BUILDING
---;:;f Hfi 2ft'i;
MECHANiCAl!" .;z.
FRM.
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
VtJ- ~ -3-7t;
,A b-3~7Y
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
WHITWORTH BUILDERS
5554 17th ST.
VALUATION: $63,501.00 PERMIT FEES 18/,50
BUILDING: !7g1_~g
PLUMBING: 57.50
SQ. FT. LIVING: 1,781 ELECTRICAL: 70.50
MECHANICAL: 35.00
SUB-TOTAL: :1"" DO
COST/FT: $35.00 CREDIT: 0.00
TOTAL: $l~~:~
SQ. FT. OTHER: 106
CONNECTION FEES
COST/FT: $11 .00 SEWER: 0.00
WATER: 0.00
METER: 0.00
VALUATION $63,501.00 TOTAL: $0.00
DRIVEWAY ~~e.e(T
ADDRESS $29.00-
FEE SHEET $321.00
SQ. FT. UNDER ROOF 1,887
RADON GAS $18.87
TRAFFIC IMPACT FEES $0.00
99% $0.00 GRAND TOTAL: $.:J01. )1
1 % $0.00 "3,31
OWNER'S NAME
APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
Dan & Linda Boan
PHONE (813) 788-6498
OWNER'S ADDRESS 4546 Blossom Blvd. Zephyrhills, Fl. 33541
JOB ADDRESS 5554 17th. Street Zephyrhills, FL. 33540
LEGAL DESCRIPTION: LOT(S) #15-#18
PARCEL I.D.'
BLOCK
SUBDIVISION
11-26-21-0010-11300-0150
WORK PROPOSED:~New Construction ____Addition _Alteration ____Repair ____Install
_Sign
_Move
DeIIOlish
. PROPOSED USE: * * *Single FuBy
_Co_ercial
_M/F ____, of Units
_Indust. ____Swim. Pool
_M/H
Other
____Restaurant Ii Health Department Approval
BUILDING SIZE: 37
X 51
-'
1887
8 Height
Square Feet,
RESIDENTIAL: ATl'ACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET EHERGY FORMS. **
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLUS Ii (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
..JQLBUILDING
~ELECTRICAL
XX MECHANICAL
-XX...PLUMBING
$
60,000.00
Valuation of Total Construction
200
AMP Service
***
Florida Power Corp.
_W.R.E.C.
$
2,900
GAS
Valuation of Mechanical Installation
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ~Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS:
BUILDER
Signature
ELECTRICI
FT.
IS PROJECT IN FLOOD ZONE AREA?
**
YES NO
******************************************
CONTRACTOR SECTION
COMPANY Whitworth Builders
~ State Cert. or Reqiet. . 0048799
Ci ty License Registration , J<,/Y'
**. *********.*.*****.*.****..*.**********
COMPANY First Class Electric
State Cert. or Regist. , E 4 0/ / 5-/ '7
Ci ty License Registration I /.s~' .
**************************************** '
PLUMBER
Signature
MECHANICAL
Signature
OTHER
Signature
COMPANY r.orella Plumbina
U~ State Cert. or Regist. I dOffl
. -City License Registration I .fiil
******************************************
~ COMPANY Sonny. s
State Cert. or Regist. I
, r U lye"'; f Zl. Ci ty Licenee Registrati(lll .
/7 ***'** *********************************
COIPAIIY t40i<l ~4;v'l-
o . ~ #JI . State Cert. or Regist. I
~ ~~~ Ci ty License Registration' .3 cJ
*** **************************************
5'67- , :J. ~ 'f
-ItZ--
lPPLICATION APPROVED 'BY
,
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS ,
!be undersigned understands that this pmit JaY be subject to 'deed restrictions' which JaY be lOre restrictive than City
regulatiODS. !he undersigned assUIeB responsibility for cmpliance with any applicable deed restrictiCll8.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIRler lias lIired a contractor or contractors to undertake work, tIIey JaY be required to.be licensed in accordance witll
state and local regulatiODS. If tile contractor Is not licensed as required by law, both tile 0IIDer and mntractor JaY be
cited for a liad_anor violation under state law. If tile OIRler or intended contractor are uncertain as to llIat licensing
requirl!l8llU JaY apply for tile intended work, they are advised to contact tile City of Zepbyrllills Building Departlent, (813)
788-6611.
FurtlleIlOre, if tile OIRler lias lIired a contractor or contractors, he is advised to bave tile contractor(s) sign portions of tile
'Cantractor Sections' of tIIis applicatioo for ,hich tIIey will be responsible. If you, as tile OlDer sign as the mntractor,
you are indicating that you, ratber than the contractor, are responsible for tile wort. If the contractor lillles fOIl to sign
as contractor that JaY be an iDdication that lie is not properly licensed and is not entiUed to penitUng privileges in the
City of Zepllyrllills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided ,itll a copy of 'Florida's Construction Lien Law - BoIeoImer's Protection
Guide' prepared by tile Florida DepartJent of Agriculture and Consllller Affairs. If the applicant il 8OI8OD8 ot.ber than tile
'owner', I certify that I bave obtained a copy of tile above described docUIent and premBe in good faith to deliver it to the
'owner' prior to co.enCl!IeDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
. I certify that all tile infomtion in tIIis application is accurate and that all wort ,ill be clone in cmpliance ,Ith all
applicable laws regulating construction, lORing, and land develo.-ot.
Application is l1ereby Jade to obtain a penit to do wort and installation as indicated. I certify that DO wort or
installation lias cmleDcec1 prior to iuuance of a penit and that all IOrt will be perforJec1 to _t standards of all 1_
regulating construction, City codes, loning regulations, and land devel~t regulations in the juris4icUCIl. I also
certify that I underltand that the regulations of other gOYeIllleDtal agencies JaY apply to tile intended work, and that it is
If responsibility to identify what actions I lUSt tate to be in COJpliance. Such agencies inclucle but are not luited to:
t Departlent of InviIODl8lltal Regulation - Cypress Baybeads, lIeUandAreas andlnvirODl8DWly Sensitive Lands,
lIater /Vastewater lreatlent
t Soutblest Florida lIater IlanageleDt District - lells, Cypress Baylleac1s, lIetland Areas, Altering lIatercourses
t IrIy Corps of Engineers - Seawalls, Docks, Xavigable laterways
t Departlent of Health' Rehabilitative Services, BnvirODleDW Health Unit - lIells, lastewater Ireallent, Septic lants
t US BnviIODleDtal Protection Agency - Asbestos abatl!leDt
I also certify that, if fill oterial is to be used in Flood Zone 'A' or 'A, etc. ., it is understood that a drainage plan
addressing a 'cmpensating volUIB' ,ill be sublitted Ibich is prepared by a professional engineer registered In the State of
Florida prior to penit issuance.
A penit issued shall be construed to be a license to proceed with tile IOrt and not as authority to violate, cancel alter, or
Bet aside anJ provisions of the technical codes, nor shall iuuance of a penit prevent tile Building Official fa thereafter
requiring a correctioo of errors in plans, ConstruCtiCll, or violations of anJ code. Ivery penit issued sball becOIe invalid
unless tile wort authoriled by such penit is co.enced within sillODtbs of issuance, or if work autborbed by the penit il
suspended or abandoned for a period of Iii IODtbs after the tile the work is ~cec1. One 90 day atensiOll of tile, JaY he
allowed for the pmlt lith fee charge of $15.00" !be atension shall be requested in writing to the Builting Official. An
approved inspection lUSt he logged during each sillODth period, or the project will be considered abanc1oned.
IIARIJIIfG 10 (MER: YOOR FAILURB 10 RECORD I ROIICE OF tlIIMDCIIIBIIlIIY RlSULI IIf YOUR PIYlIfG lllCE FOR DIPIJVIIIBIrS 10 YOOR
PROPIRIY. IF YOO mIlD 10 O8IAII FIIIIIICIIC, COISULI IIIB YOUR LBIDIIl OR IX AIIORIIY BlPORB RICORDIIG YOUR.ROIICI OF
-. JlIIlI - ll,~ D VILIDIIIlIIIOf - 10 IIItOID IIlD IIIST I ~~4
51 SIGDIIIRf~
~
srArB OF FLORIDJ?
coum OF I1J S- (0
The foregoing instrument was acknowledged
before me this .~ 19____ by
wbo is personally known to .e or wbo bas
produced
as identification and who did/did not
take an oath.
SIAIB OF FLORIDA/)
COOllY OF 'f1!Sco
The foregoing inst~t was aC~ledged
before me this /h~7~9 t1 by
, G
(lU/I/ /;')!!-I Twoi' nl
wbo is personally known to 818 Dr wile lias
~oo...ced
as identification and who did}did not
take an(ti~t~!./lr~
(Signatu~ K.nJ
1-1 JJ (jA-]). ()
(Name Typed, Printed ~r Stamped)
NOTARY PUBLIC
(Signature)
(Nue Typed, Printed or StiUlped)
NOTARY PUBLIC
'~~~":U'." " LINDA D. lOAN
f:f':;&~~ MY COMMISSION' CC 209593 EXPIRES
~.~~: June 15. 1996
.....'(,....;..~.~ BONOED 11lIIU TIIOV FAIlfINSllWlCE.INC.
,Rf.,\\,
CITY OF .ZEPHYRHILLS BUILDING DEPAR"l"ME.NT
OWNER VAN f LiNDA... DnAAJ
JOB LOCATION S.j-64 L"1~' ~4.. Z~hin~ I ~L
PARCEL 1.D. # --1l- ~(o- 2l- OOLt) - jl&()-t)/StJ
SHOW ALL EIISTIRG . PROPOSED S'l'RUC'!'URES 9IVIRG DIMENSIONS . SETBACKS.
I~O
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
68.0 I
Sl.o'
.. PROPOSED I
I 0
34.5 t-: .34.5
It) RESIDENCE
35.0 I
FRONT PROPERTY LINE
~
<::;:)
~
-
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
STREET
/7!!J
IfO I
1. SETBACKS FOR R1, R2 ZONING
60
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAN 30 'DUPLEX
1 0'
FROIft" PROPERTY Lno:
FROIft" PROPERTY Lno:
t:lonlbA ENEt1GY EFt=ICIENCY COOl: t:on eUIlOING coNSTnUCTloN ;:.~.
FonM 8oo8-~:t "@8IdAt1tU" Cbh1ti(tH@t1t t'tAlttlt'tlv@ M@thod b CENTRAl(4/5 6
.. " ',. . bepdttm~nt of Commuhlty AffaltS \
C.O'T'ohance w,'h Method B Chaple, 6 of lhe florida Energy Elltcl'ncy Code may be demonstraled by the use 01 Fo,m 600893 lor s.ngle end muhrlamtly 'estdences 01 3 Slorit!s or less in heIght. and
~j(l"'ons '0 .lIsting ,,,ident'e' buridinot to~, . building must meet 0' e.ceed,an o'",e ene'1lY e"ideocy ptescripliv,s In Iny 0!lI ollhe prescriplive component packages t!!lI r.omply wilh the
~,'esc"pl;ve measu,es Iisled In Tlb!. As. 1 olltllt Iom1 ComflIIAnc' by ",Is method 101m be, In most cases. equlvlltontlo In El'l 01 100 poin's 0' less. An altemative mt!'hOti Is prnvided 10' add'Mns nf
600 SOUlre Ittt or less lilt of Form Iooc.b. . . does nol with "'IS method. II ItiI under other IICtiOnIIn Chlpttr S oIlhe Code.
PROJECT NAMf:: 5(JA.N R5L~i.De N'L-t5"" !!!l~DER: wh i+ fA) ll[)e;-g:\
^ND ADDRESS: ,~:)-:~-::4 L7..Jd-.. ~\; "ERMI"I~~~. j., j' 'Ii. 1 CLIMATE r;-.?( 0- o-u.
~2nyRhlll.s EI' OFFICE:~ lONE: ~CJ5 8
OWNER: DAAJ €! L.JJJ.DA. Bo.~ "EhMtrNO~ JURISOlCTlONNO,: ~
GEUenAl DIRECTIONS
1 New construction Including Addltlon~ ~hfch Incorporales any 01 Ihe lonowlng lealures cannol comply using Ihls method. raised wood "oars without continuous sll'm W;!,,~.
steel stud wans. s,"g'e lIssembtr rooflceffi{lg construction, or skylig1:lts or olher non. vertical rool glass.
2 Choose onl! 01 tM campanAnt f>tckdges ok through oF-1,0m Table ~e.t by which you Intend to comply with the code. Circle tM column 01 thl! p;lck:1ge you h:we chosen.
:1 rill In an Ihe applicable 81lltcAA ottM "To Be In~'li"ed. column on Table 6B,t with the ,"Iormallon requested An 10 Be 'nSlalled.. va'uel musl be equal to or more ellicient
than thi! r~Qul'ed levels. . . .
4 Complete page 1 based on tM 10 da tnstanetf eolumn Information '
5 tlead "Minimum ReQUirerMnlt tor AI ~lIckages". Table 68.2 end check each box to Indicate your Inlent to comply with ;In applicable ft~ms
6. tlead. sign and date the .Prtplred At certilicalion statemenl., the bottom 01 page t. The owner or [)Woe"s agent must also sign and date the lorm,
"Ieate "tint CK
1. Compllthe@ "AekAD@ ~hbt@h (A-F)
2. Nf!W eon~ttUetlt)h ft. IItfdltloH
3. SIngl@ fAthlly tf@tl~"@tf "t MultifAmily ..ttAched
,II, If Muttl'f\ml'y-ffo. 8' Uftltt c(tv@tf!d by thlft tubml~~Ion
5. If Multl'8mlly, II thll A *6tlt !IAt (y~~ I hO)
8. CondlttoriAtf ftfjbt Attl (~q. ft.)
7. "t@~omlhA,1t ~lvI8..._thlhD (ft.) .
8, "oteh bv@thlHft ItRtfth (ft.'
9, GI"U 't@A 'Hd ty~':
A. CIMt glM~
b. Tint. '"m or ~olar ~cteen
10. "ere~nt"~@ b' <<tIt" td Hd6t Atlt
11. f:loor ty,,@ And friAulltlttH:
A. S'~b bH tJtAd@ (f:1-VAIUf!)
b, Wood. tdl~@d (~-value)
c. Wood. cott\ffibR (~-vAIlI@)
d. Concret@, tal~8d (f:1""AIU~'
e, Conct~t@. common (~-vBlue)
12. Willi type .fitlIHlulttt~,.,:
a, ExterIor:
1. M"sonty (Iri~uIAtlljH "-vl\Iu@)
2. Wood fram~ (IMuldtloH ~-va'ue)
b. AdJAcent:
1, MAsonry (IMulatlon R-\talue)
2. Wood 'rAm@ (Ih~ulatloh ~-vAlue)
1:1. C~ItIt1~ typ@ Antllhtulattlott:
". Und~t A"'c ('h~UIA"fi" R-VAIU@)
b. SIngl@ M~~mbly (In~u1Att"H ~-\tftlue)
14. Cootln~ tyAt@h1
(Types: cenlral. room unit. package terminal A.c.. nonel
15. H~Atln~ tyttAhi:
(Tvpes. he!!t pllmp. fllftc. ~lrlp. n". gAt L". gas. room or "T^C. "one)
16. Hoh"llItf~t tylt~m:
(TYr"!~. elp-c., nllt g"~, Lt'. ~!l. Aoldr. MR' rec. dl'!cf MAl pump. tlth~r, non@)
rnlir"'"EO BY: .
I ",.,,.hy C":flr1lfy th", tlw.. b
nAn: l::..!1..:-ll
E....ovcooo MTE ;;Z-)~-91
1J-29
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2.
:t
-1.
5.
8.
7.
8.
/P-
Al e0
5':IV~rp,
- /tjr~
:J-
____JLL~
Single Pane
sq. 't.
/)D')' sq. ft.
-n %
Double Pane
sq,".
sq. 't
99.
9b,
10.
if A, h~ e
11b. n~
lie, n~
1 1d. h~
1 fe. h~
I :~ &' <1 sq. ft,
sq. H,
__sq. ft.
__sq. ft.
__sq, ft.
~
129-1 n~
1 29-2 n~
II
__sq. ft.
-LJ. j If sq. ft.
12b- 1 H",
12b-2 R~
__sq. 'f.
__sq. ft,
1~a, R= "3 0
13b. h~
-Lri '1 sq. 'ft.
__sq. 't.
14.
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ype: 4- ~. {
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